Ovarian Torsion

Adolescent female with presents with severe, intermittent, unilateral, and non-radiating lower quadrant abdominal pain. Reports N/V. Denies fever, vaginal discharge, dyspareunia, menses complications. Unilateral abdominal pain with palpation, enlarged/tender adnexa on exam.

• Obtain CBC

• Ultrasound shows enlarged adnexa (ovary > 5cm) and decreased flow on doppler

• Consult OBGYN for detorsion surgery

Note: In pediatric patients, torsion can occur in the absence of an ovarian mass